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Removal Of A Kidney Drainage Tube, With X-ray Guidance

New Hampshire rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated July 2026.

How much does Removal Of A Kidney Drainage Tube, With X-ray Guidance cost?

$1,571

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,571 for this procedure. That total is two separate charges: $158 to the doctor who performs it, and $1,413 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$158$81.28 to $646
Facility feeThe hospital or surgery center$1,413$1,349 to $3,467

How much rates vary

Facilitymedian $1,413 · 10th to 90th $224 to $8,913Professionalmedian $158 · 10th to 90th $55 to $891
$50$200$1K$5Kfacility $1,413professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,380.38
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$181.97
Typical High
$478.63
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$120.23
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$218.78
Typical High
$1,023.29
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$436.52
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$426.58
Typical High
$1,122.02
Well Sense
Setting
Facility
Modifier
50 · Both sides
Typical Low
$549.54
Median
$549.54
Typical High
$549.54

Where New Hampshire sits

The same service costs 11.5 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

New Hampshire· 28th of 49

$1,571

$158 physician + $1,413 facility

NJ $5,110WV $443

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.